| NPI | 1811357767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EUGENE HARRELL Directoe 406-889-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MT D129596) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |